Upper Arm & Shoulder Anatomy Flashcards

1
Q

Name the 3 anterior muscles of the upper arm

A

Biceps brachii, brachialis, coracobrachialis

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2
Q

Biceps brachii - AFI

A

Attachments - long head originates from the supraglenoid tubercle of the scapula, and the short head originates from the coracoid process of the scapula
Do not insert into humerus (no attachment to bone)
Insert distally into the radial tuberosity
Function - Supination of the forearm, flexes the arm at the elbow and at the shoulder
Innervation - musculocutaneous nerve

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3
Q

Coracobrachialis - AFI

A

Lies deep to the biceps brachii
Attachments - originates from the coracoid process of the scapula and passes through the axilla, and attaches the medial side of the humeral shaft
Function - flexionof the arm at the shoulder, and weak adduction
Innervation - musculocutaneous nerve

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4
Q

Brachialis - AFI

A

Attachments - originates from the medial and lateral surfaces of the humeral shaft and inserts into theulnatuberosity
Innervation - musculocutaneous nerve with some innervation by radial nerve
Function - flexion at the elbow

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5
Q

Triceps brachii - AFI

A

Attachments - Long head - originates from the infraglenoid tubercle
Lateral head - originates from the humerus, superior to the radial grove
Medial head - originates from the humerus, inferior to the radial groove
Distally, the heads converge onto one tendon and insert into the olecranon of the ulna
Function - extension of the arm at the elbow
Innervation - radial nerve

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6
Q

Describe the blood supply of the upper arm

A

Subclavian artery feeds into axillary artery and then brachial artery
Posterior circumflex humeral artery branches off of axillary artery and wraps around humeral head

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7
Q

State the bone joints at the ends of the clavicle

A

Sternoclavicular joint, acromioclavicular joint

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8
Q

State another name for the shoulder joint

A

Gleno-humeral joint

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9
Q

Where is the coracoid process

A

Notch on the superior anterior portion of the scapula

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10
Q

What is the anatomical difference between the surgical neck and anatomical neck of the humerus

A

Anatomical neck is next to the humeral head

Surgical neck is distal to the tuberosities

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11
Q

Identify the muscles that provide shoulder abduction

A

First 90˚ of abduction comes form the glenohumeral joint
0˚ - 15˚ from supraspinatus - suprascapular nerve
15˚ - 90˚ from deltoid - axillary nerve
Over 90˚ due to scapulo-thoracic joint through scapula rotation
90˚ from upper trapezius and serratus anterior

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12
Q

Identify the muscles that provide shoulder adduction

A

Pectoralis major - medial and lateral pectoral nerves
Latissimus Doris - thoracodorsal nerve
Teres major - thoracodorsal nerve

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13
Q

Identify the muscles that provide shoulder flexion

A

Anterior fibres deltoid - axillary nerve
Pectoralis major - medial and lateral pectoral nerves
Corachobrachialis - musculocutaneous nerve
Biceps brachii - musculocutaneous nerve

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14
Q

Identify the muscles that provide shoulder extension

A

Posterior fibres deltoid - axillary nerve
Latissimus dorsi - thoracodorsal nerve
Teres major - thoracodorsal nerve

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15
Q

Identify the muscles that medially rotate the shoulder

A

Subscapularis
Teres major
Pectoralis major
Latissimus dorsi

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16
Q

Identify the muscles that laterally rotate the shoulder

A

Infraspinatus

Teres minor

17
Q

Describe the factors that contribute to stabilisation of the shoulder joint

A

Static stabilisers - don’t move - part of anatomy
Glenoid labrum - fibrocartilage rim attached around glenoid cavity and deepens glenoid cavity
Capsule - covering around joint
Glenohumeral ligaments
Contains superior, middle and inferior glenohumeral ligaments and help reduce risk of anterior dislocation
Extra-capsular ligaments -many ligaments attached to coracoid process (coracocortioid ligaments)
Corococlavicular ligament, coracoacromial ligament, coracohumeral ligament
Negative intra-articular pressure sucks in glenoid
Dynamic stabilisers
Rotator cuff muscles - SITS
Originate from scapula and attach to proximal humerus
Subacromia bursal - fluid in space to reduce friction
Biceps brachii
Muscles across shoulder